Male/Female Infertility Treatment Factors at Sarthak Fertility & IVF Centre

According to the Indian Society of Assisted Reproduction, Infertility affects around 10 to 14 percent of the Indian population, Mostly in Urban areas couples showing higher chances of infertility. Around 27.5 million Couples actively trying to conceive suffer from infertility in India. There are many reasons for Infertility of a couples. If you and your partner are struggling to have a baby, Infertility come into place when you are not being able to get pregnant despite having frequent, unprotected sex for at least a year for most couples. Infertility can be an issue with either you or your partner, or it may be combination of factors that interfere with pregnancy. But Fortunate enough, there are many safe and effective therapies available that can significantly improve your chances of getting pregnant. At Sarthak Fertility Centre, we check and analyse the semen based on different factors and based on Research & Innovation. Our Fertility Specialist’s recommends the best possible options for you.

Female Infertility Factors

I. Ovulatory Factor

A. Follicular Study: Ultrasound is a diagnostic procedure which uses high frequency sound waves to picture structures inside the body. Use of the vaginal probe ultrasound allows the physician to monitor the ovulation process in the ovary during the patient’s menstrual cycle. Ultrasound may also detect ovarian endometriosis and fibroids.

B. Serum Progesterone Level: Occasionally the BBT does not give an accurate picture of whether ovulation is occurring. On occasion, a blood test to evaluate the serum progesterone level is used.

C. Endocrine Studies: If a woman is not ovulating or has an ovulatory dysfunction, it is very helpful to determining why this is occurring. Such endocrine studies usually include Prolactin, AMH, and DHEA -.S. FSH/LH, Estradiol and thyroxin tests may be done in some circumstances. We provide these testing facilities.

II. Implantation Factor

A. Endometrial Biopsy, (EBx): The lining of the uterus is sampled to see if it is being properly prepared for implantation of the embryo. It also reflects function of the corpus luteum. The biopsy is done 11-12 days after ovulation.

III. Uterine and Tubal Factor

A. Hysterosalpingogram (HSG): A radiopaque dye is injected into the uterus and x-rays are taken to view the shape and the size of the uterine cavity and fallopian tubes. The HSG also detects whether the tubes are open or blocked.

B. Diagnostic Hysteroscopy (Dx Hyst): This diagnostic procedure uses a flexible scope, which permits the physician to look inside the uterine cavity to see whether there are any deformities or tumors distorting the cavity. It is also possible to visualize the corners of the uterus to see if the openings into the tubes are normal. This procedure is usually done in the centre. Medication maybe taken two hours prior to the procedure for cramping that may occur with the procedure.

IV. Peritoneal Factor

A. Diagnostic Laparoscopy (Dx Lap): This outpatient surgical procedure, done under general anaesthesia, permits the physician to look inside the abdomen to inspect the various abdominal and pelvic organs, including the female genital organs. This diagnostic procedure is primarily done to see whether there is evidence of endometriosis or pelvic adhesions that could interfere with the transport of the egg from the ovary to the tube and on into the uterus. If endometrial implants and pelvic adhesions are identified, additional procedures such as cautery or laser treatment may be done to destroy the implants and release the adhesions, which facilitates implantation of embryo flow.

Transvaginal Ultrasound: Purpose, Procedure, and Results

Transvaginal ultrasound is a test used to look at a woman’s reproductive organs, including the uterus, ovaries, and cervix. Transvaginal means across or through the vagina. The ultrasound probe will be placed inside the vagina.

How the Test is Performed?

You will lie down on a table with your knees bent. Your feet may be held in stirrups.

You will be given a probe, called a transducer, to place into the vagina. The probe is covered with a condom and a gel.

  • The probe sends out sound waves, which reflect off body structures. A computer receives these waves and uses them to create a picture.
  • The ultrasound technician or doctor can see the picture on a TV monitor.
  • The health care provider will move the probe around the area to see the pelvic organs.

In some cases, a special transvaginal ultrasound method called saline infusion sonography (SIS) may be needed to more clearly view the uterus.

How to Prepare for the Test?

You will be asked to undress, usually from the waist down. A transvaginal ultrasound is done with your bladder empty or partly filled.

Why the Test is Performed?

Transvaginal ultrasound may be done for the following problems:

  • Abnormal findings on a physical exam, such as cysts, fibroid tumours, or other growths
  • Abnormal vaginal bleeding and menstrual problems
  • Certain types of infertility
  • Ectopic pregnancy
  • Pelvic pain

Transvaginal ultrasound is also used during pregnancy.

Male Infertility Factors

A. Semen Analysis*: A semen analysis accurately measures the number of sperms, this motility ,their morphology, volume and consistency of the ejaculated sample. It’s a simple test to undertake, and our dedicated staff will support you with any diagnostic or surgical services you need. The semen sample is used to determine whether the male is fertile. This requires a masturbation specimen collected in a sterile container obtained from the laboratory.

B. Critical Morphology*: for some patients we may recommend testing for DNA fragmentation within the sperm, in case experienced with recurrent miscarriage or several unsuccessful treatment cycles, this test is detailed evaluation of sperm structure sperm chomation structure Assay and is mat done by most labs.

C. Diagnostic Semen Wash: This laboratory procedure accomplishes an extraction of the sperm out of the semen with re-suspension of the sperm in another solution. This diagnostic test is necessary for all IVF procedures as well as for other selected indications. It involves a 1- or 2-day advance scheduling with the lab, collection of the specimen into a sterile container.
D. Endocrine Studies: When a male factor problem is not explained is not explained by the above studies, hormone evaluations are frequently done. This can include LH, FSH, testosterone, prolactin, and thyroid studies. Our centre provide the above mentioned hormonal testing.